title: The needs of Asians and Pacific Islanders living with HIV in New York City.
abstract: This article familiarizes the reader with AIDS among Asians and Pacific Islanders (A&PIs) in New York City. The first section describes the epidemiology of AIDS among A&PIs in the United States and in New York City. In the United States 4,131 A&PIs have been diagnosed with AIDS. The age at diagnosis in the United States has been relatively stable over the past decade, although the proportion of diagnoses represented by older A&PIs (aged 40 to 49) has been increasing in New York City. The proportion of heterosexual diagnoses have been relatively stable over the past 6 years, whereas other racial groups have shown increases in the proportion of heterosexual transmissions. Data on defining opportunistic infections suggest that a different clinical pattern exists among A&PIs when compared with other racial groups diagnosed in New York City and the United States whereby A&PIs exhibit the highest proportion of Pneumocystis carinii pneumonia of all groups. The second section provides a discussion of some of the issues facing HIV positive A&PIs and their families in the process of accessing services at community-based HIV service organizations in New York City. One broad concept emerged from the client focus group that served to organize the analysis: family--a compelling case for HIV service organizations to initiate, expand, and maintain family services, however family is defined. The location of A&PI AIDS service organizations and its implications for recentering families in the caregiving process is discussed.
authors.affiliation: Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors.forename: H M
authors.initials: HM
authors.lastname: Eckholdt
authors.forename: J J
authors.initials: JJ
authors.lastname: Chin
authors.forename: J A
authors.initials: JA
authors.lastname: Manzon-Santos
authors.forename: D D
authors.initials: DD
authors.lastname: Kim
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology / Q000208:ethnology; D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology* / Q000635:transmission; D000293:Adolescent; D000328:Adult; D000368:Aged; D001208:Asia / Q000208:ethnology; D001213:Asian; D003625:Data Collection; D005190:Family; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D010139:Pacific Islands / Q000208:ethnology; D012944:Social Support; D014481:United States / Q000453:epidemiology